

International Mail Order Program

Calumet offers a great option for you to save money on certain brand name prescription drugs through the Elect Rx International Mail Order Program. This program is known as Personal Importation or PI. You can order your brand name drugs from Canada, New Zealand, Australia and England using the same “brick and mortar” pharmacies that people in these countries use for their medications. Plan Members can purchase medication at significantly reduced cost, in some instances, for FREE! ElectRx is a confidential third-party program following all appropriate HIPAA regulations. Here is how you can begin using the program. Enroll today and receive a one-time $200 gift card!
1. Included with this document, is a list of brand name prescription drugs that are offered through the Elect Rx Personal Importation Program (PI). Review this list and see if any of the medications you are currently taking can be filled through the Personal Importation (PI) Program. We are constantly updating this list. Call Customer Service if you do not see your drug listed. You can order up to a 90-day supply of any brand name medication that is eligible for dispensing through this program.
2. Members can enroll by calling (855)353-2879. A Customer Service Representatives will complete the enrollment process and order for you. You will be asked several questions related to your medical condition including any known allergies and a list of the prescription drugs you are currently taking. You should have those prescription drugs with you when you make the call.
3. Have your Physician prepare a prescription with 3 refills and FAX it to the Elect Rx Toll Free Number at (833) 353-2879. Again, you have a $0 co-pay on your prescription and subsequent refills. You will receive an automated reminder notification of a pending renewal/refill. Shipping takes 5-15 business days from the date of completed requirements Tip: Have a 30-day supply on hand to allow for plenty of delivery time.



Elect Rx Customer Service: (855) 353-2879
Elect Rx Physician Fax: (833) 353-2879 or Escribe to:
A & M Pharmacy, 8282 Woodward Ave. Detroit, MI 48202 NCPDP 2338514 Fax-313-875-2869
Customer Service Email: info@electrx.com
Calumet
Available Drug List
Personal Importation Program (90-day supplies)
Brand Medications Available Through Elect Rx
Please call Customer Service if you do not see your Drug listed!
Actemra
Elect Rx Customer Service: 1-855-353-2879
Open 8:30AM to 4:30PM M-F
Physician Fax: 1-833-353-2879

Aklief Cream Combigan Fosamax D Lotemax Eye Drops Otezla* Stelara* Verquvo 10mg
Alecensa* Combipatch Frova Lupron Depot Oxytrol Stendra Verzenio*
Alphagan Combivent Genotropin Lynparza* Ozempic Stiolto Viberzi
Alvesco Copaxone Genvoya* Mayzent - 0.25MG* Pentasa Stivarga Votrient*
Amjevita
Anoro
Arazlo Lotion Denavir Cream Glyxambi Mekinst - 2MG* Promacta* Sutent - 25MG* Vyzulta
Arnuity Ellipta Dovato Grastek Migranal Pulmozyme* Sutent
Asmanex
Atrovent Duobrii Ibrance* Motegrity Qvar Inhaler Symtuza* Xeljanz
Aubagio* Dymista Imbruvica* Multaq Qvar Redihaler Synarel Xeljanz XR
Avonex Edecrin Incruse Ellipta Myfembree Rebif Synjardy Xifaxan - 200MG
Azelex Edurant Intelence Myleran Restasis Taclonex Xifaxan - 550MG
Azilect Eliquis Invega Myrbetriq Rexulti Tafinlar* Xigduo XR
Baqsimi Elmiron Iressa* Neupro Ridaura Tagrisso* Xiidra
Basaglar Emcyt Isentress* Nexavar* Rinvoq Taltz* Xtandi
Benlysta Emtriva Isentress HD* Nexletol Ryaltris Nasal Spray Tarceva* Zeposia*
Betoptic S Enbrel* Jakafi* Nexlizet Rybelsus Tasmar Ziana Gel
Bevespi Aerosphere Entocort Janumet Nextstellis Sancuso Tivicay* Zolinza*
Biktarvy* Entresto Janumet XR Nitrolingual Santyl Ointment Toujeo Solostar Zomig Spr
Binosto Entyvio* Januvia Nocdurna Saxenda Toviaz Zovirax Cream
Bosulif 100mg* Erleada* Jardiance Norditropin Selzentry* Trelegy Ellipta
Bosulif 500mg* Esbriet Jublia Topical Solution Nubeqa Serevent Tremfya*
Breo Ellipta Eucrisa Ointment Juluca* Nucala Silenor Tresiba
Breztri Aerosphere Evotaz Kaletra* Nurtec ODT Simbrinza Trintellix
Brilinta Exelon Patches Kerendia Ocaliva* Skyrizi Triumeq*
Briviact Fareston Kesimpta* Ocrevus Soliqua Trulance
Cabometyx* Farxiga Lacrisert Odefsey Somatuline* Trulicity 0.75mg
Cardura XL Ferriprox Latuda Ofev 100MG* Soolantra Trulicity 1.5mg
Cequa Fetzima Lenvima* Ofev150MG* Spiriva Tykerb
Cimzia Flovent Lexiva* Oralair Spiriva Respimat Uceris
Flovent HFA Inhaler Linzess Orilissa Sprycel*
Medications must be filled a minimum of one time through the Employer RX Benefit Plan.
*This medication will only be dispensed as a one month supply due to the high cost of this medication.
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